MALLORY KRISTEN GROFF PMHNP-BC NPI 1255961959

NPI Information

NPI: 1255961959
Provider Name: MALLORY KRISTEN GROFF, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4700 S WASHINGTON ST STE G
GRAND FORKS, ND
ZIP 58201
Phone: (701) 205-3000
Get Directions

Mallory Kristen Groff, PMHNP-BC is a psychiatric/mental health nurse practitioner in Grand Forks, ND. Mallory Kristen Groff, PMHNP-BC NPI is 1255961959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 S WASHINGTON ST STE G
GRAND FORKS, ND
ZIP 58201-123
Phone: (701) 205-3000
Fax: (701) 732-2501

The NPI 1255961959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2020 and was last updated on 4/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		9426584	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	7531	MINNESOTA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	161921	ALASKA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	828441	NEVADA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R48854	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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